CAS

In celebration of the HLG2018 conference slides having emerged it is time for some reflections.

This was my first time at Keele University and it was good to explore somewhere new (though not ideal as a conference venue since having found it on the map I then joined the general head scratching about how to get there). I spent an unhappy hour on the bus from Stoke on Trent and was very fortunate to find a cab to share to get away again at the end. The campus itself was green and pleasant all be it largely shut down for the summer.

I arrived a day ahead for the HILJ editorial advisory board (EAB). We had a very productive discussion on the peer review set up for the journal. Changes should make the peer review reports both easier to complete and more useful for the editorial team. I was very aware that I do little reviewing and have since made a point of completing one for the journal with the aim to do more in future. I also continued to flag my idea of driving ownership of the journal amongst HLG members by encouraging a quarterly CPD discussion group (more on this another time or see CILIP SocialLink stream under HLG!). My involvement in the EAB is great for gaining an insight into the academic processes around journal publication. Do publish in HILJ folks!

A theme for the conference was wellbeing and as part of this I had volunteered to lead a run on the first morning. I had an initial scout around and got totally lost and we then had a very successful #libraruns effort the next morning (where I lost most of the runners). A good time was had by most (if you run and use strava then join the libraruns club).

The conference started with an update from Nick Poole offering general news of things CILIP. I get the impression Health remains one of the stronger parts of the membership. We then heard from Dr Mark Murphy who got us thinking about grey areas in evidence and various lens through which we should consider Evidence Based Medicine.

I attended a session of a Knowledge for Healthcare related working group looking at stats for the NHS LKS. I may have ended up going off at the deep end about metrics and do feel that the group have been given a brief somewhat too close to the one the metrics group already covered.

I was very taken with a presentation I did not attend (the wonders of twitter to be in more places at once) on a QI bookcase and linked up subsequently with the speaker to learn more.

Good fortune meant I chaired the session where Stevie Russell updated on the work of African Hospital Libraries I am very interested in the work of this charity and have managed to make some headway with making it an area of concern for my own service. The other talk in the session was on a developing tool for providing Current Awareness Services to biomedical scientists using machine learning. There was definitely something interesting there but it felt like something of a work in progress and one where librarians experience around delivering CAS could be very helpful.

My favourite talk of the conference was by Kate Misso on reducing waste in systematic review work through the input of librarians to the search process. It was shocking to realise the poor quality of much of the searching under pinning systematic reviews with implications for the findings and reproducibility. My least favourite was probably laughing yoga which I attended reluctantly as I wanted to hear the Biship and Le Fanu lecture on Evidence Aid that followed it.

For my own part I brought a poster on work I carried out around creating a simple title scheme to support guideline retrieval.

I always enjoy HLG conferences and 2018 was no exception (see my triumph in the raffle at the top of the post!). It remains a key opportunity to catch up with colleagues and get a feel for what is happening around the place.

A few thoughts while #HLG2016 remains fresh in the mind. Hopefully there will be a good number of reflections shared in the coming days (Abi Alayo has been quick off the mark with her thorough posts for the first and second day. I am likely to be less thorough!

The conference had a packed agenda but it is the window to talk to so many colleagues that really makes it. This started ahead of time on twitter with the depth of adoption of this channel continuing to grow (NodeXL analysis of patterns of use, language and so on). The journey up offered time for initial conversations and the world was partially set to rights with Ben Skinner on a later than hoped for train from York. One of the topics was around the challenge of liberating the data that we hold and need to use (more on this in another post).

Safely arrived at the Royal there was time to help some guy push his slush puppy cart into an arcade and to buy three pints and half a coke for £7.70 (Seven pounds seventy pence London pub drinkers vidiprinter) down on the harbour side.

The next morning started with the pleasure of finally meeting Michael Cook after years of being in contact online. Running along the sea front was a great way to open the day and to get a feel for the fog. This was one of at least a couple of semi organised runs by delegates and it would be a nice thing to continue at future events.

The conference venue was the Scarborough Spa which had a slightly faded glamour but met our needs overall (the wifi worked!). The shifted date was less successful with the Higher Education contingent clearly reduced due to student inductions already being underway or looming.

There was a strong Knowledge for Healthcare theme throughout the two days which may have been off putting for some. This is balanced to some extent by the extent to which the products of KfH workstreams are publicly available and often widely applicable. The volume and quality of work going on is impressive with tool kits in all directions. Work on increasing the role of centralised procurement rang some alarm bells for me – we have moved from £2mill spent centrally to £4mill but the view is that some £12mill could be spent this way. That money is unlikely to be new money! Efforts to look to the future of staffing are also welcome with another leadership programme and a development path for senior managers on the way. I suspect there are non NHS health folk on the current leadership programme and I really hope so as it is important to get a wider perspective where possible.

I forget how long it is since the introduction of “Do once and share” but duplication of effort remains stubbornly persistent. The work on Current Awareness illustrated this clearly with over 700 bulletins under production just from the people who responded to a survey on this. Approaches around consolidating these while establishing best of breed models feels overdue. The guideline on good bulletin production will be one to watch for.

My own session on metrics drew a larger crowd than I had hoped for with pretty much a full room. It brought home to me the need for additional efforts to explain how the principles we developed for good metrics can be applied. In a similar way to the CAS bulletins I could see the germ of a plan to develop best of breed metrics based around shared templates. There was some confusion over whether this was an additional piece of work or a replacement for national statistics returns. In essence I hope the principles will be used as part of the national statistics review to inform any changes. What I hope I expressed strongly during the talk was that the interest in metrics is mostly the extent to which they can drive useful conversations – with our stakeholders and with each other. Through out the conference we were reminded of the importance of being active in the boardroom as well as at the bedside. Having something concrete to talk about that responds to the priorities of senior stakeholders must be a good thing. I will make some tweaked slides for the web and blog them in the next few days.

After the rush of presenting we then had a fun conference dinner from which I may have escaped with slightly too much CILIP HLG rock!

A pair of keynotes kicked us off well on the second day with Nick Poole running through progress at CILIP and recognising the impact of health library and information professionals work. I hope the new model for subscriptions and improving offer will have the desired effect to widen participation and membership. This was followed by a moving talk from Lynn Daniel on the Expert Patient Programme. While I am sure I was not alone in wondering about the evidence base for some of the interventions proposed it was clear that her work has considerable impact on peoples lives with access to information at the heart of it.

The expert work of Judy Wright in supporting research proposals was fascinating and highly relevant to some of the thinking I am doing about search support for my own organisation. This along with a number of discussions I had made we wonder a little as to how up to scratch our skills are in these areas. While there are some seriously well equipped librarians out there I certainly feel that I know less about systematic review and other advanced searching than I would like. As we shift to delivering more highly specialist work and automation advances we need to ensure that we can maintain credibility. More thoughts on this to come in another blog post.

Other useful talks were Jo Milton from Cambridge on UX work (experience sharing planned for the future) and Andrew Brown looking at RoI. The RoI work confirmed how hard this is to do well and the risks associated with starting to move into the realm of putting a price on all things.

HLG committee were keen to hear about ideas for what else we might do. The potential for holding HLG Conference annually was suggested. I wonder whether we might run something like the UKSG one day event which combines a trade fair with a selection of talks? A notable difference is that this is a free event to attend. We could look to make the overall cost lower (no lunch unless a sponsor covers?) to allow this. I would also like to see HLG campaign with members to increase uptake of revalidation. The concept of regular revalidation is understood and undertaken by many of those we work closely with. HLG can lead the way on raising use of this method and normalising it across the profession.

We emerged from the fog as the train whisked us off home. This felt like an important conference and reminded me how much I love working in the health information community. There is no doubt that significant progress is being made across many areas of work. There is also no doubt that financial pressure is going to be intense for most of us. The call to engage with NHS Sustainability and Transformation Plans, with the patient information agenda and with making the future we want to be part of has to be heeded.